Quality Improvement Specialist

Group Health Cooperative of Eau Claire; Altoona (WI); On-site; USD 52,000 - 72,000; Full time

Job summary

Group Health Cooperative of Eau Claire in Altoona, Wisconsin is seeking a Quality Improvement Specialist to support and implement quality initiatives under the QI Manager. You will help improve quality metrics through coordination and collaboration both externally and internally.

The role focuses on tracking quality/adverse events, participating in PIP projects, and educating members and providers on QI efforts to advance NCQA goals and pay-for-performance measures.

Qualifications

• Associate degree or certification required; nursing/clinical experience preferred.
• Strong written and verbal communication skills.
• Ability to build trust with business partners across boundaries.
• Proficient in Microsoft Office Suite.
• Ability to work independently.

Responsibilities

• Participate in QI initiatives and monitor quality metrics.
• Investigate and analyze reported quality/adverse events.
• Coordinate with QI Manager and external entities on NCQA projects.
• Write quarterly PIP reports and proposals.
• Educate members on QI initiatives and pay-for-performance measures.
• Educate providers on QI initiatives and P4P measures.

Skills

Interpersonal skills

Written and verbal communication

Trust-building across teams

Microsoft Office

Independent worker

Education

Associate degree or related certification

Tools

Microsoft Office Suite

Job description

Employment opportunities with the Cooperative.

Health is Our Business

Making a move with your employment is a big deal. If you're considering working at the Cooperative, you may be wondering what we are all about.

Member-Focused

We work hard each and every day to build genuine, meaningful relationships, answer questions and offer solutions to your members. We want them to know we are here every step of the way when it comes to health care.

Community-Driven

Our roots are firmly planted in western Wisconsin. We believe in being actively involved in the communities we serve. Employees are encouraged to participate alongside us through sponsorship events, community restoration projects, fundraising opportunities, and much more.

Voted one of the Best Employers in the Chippewa Valley three years in a row!

Great Culture with Amazing Benefits

As the saying goes, work hard...play harder. You should like the people you spend the day with and we do! We celebrate big and little things each year, because it's a truly important part of a healthy work culture.

• Wellness Walks
• Health & Fitness Challenges
• On-Site Fitness Classes
• Sit/Stand Stations
• And More!

WORK WITH US

Current Openings

Think you'd be a good fit? See what opportunities we have available below.

Position:Quality Improvement Specialist

Location: Altoona, WI

Job Id:1536-1313

# of Openings:1

Position Purpose
To support and help implement quality improvement initiatives at the direction of the QI Manager through coordination and collaboration both externally and internally. Help improve quality metrics through process improvement.

Essential Position Functions

• Participate in QI initiatives, quality metrics and pay for performance measures.
• Investigate, track, trend, and analyze reported quality/adverse events.
• Work collaboratively with the QI Manager and Market Leader, CMO to provide feedback and maintain strong relationships with external vendors/entities related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects.
• Track PIP data and write quarterly PIP reports, PIP proposals, and final PIP reports.
• Engage and educate members on QI initiatives regarding gap closure.
• Engage and educate providers on QI initiatives and P4P measures and work with providers to develop processes to improve QI/P4P measures.
• Attend and participate in quarterly QI Committee meetings.
• Attend and participate in monthly credentialing meetings.
• Collaborate with other departments to accomplish QI initiatives.
• Complete provider site visits per NCQA standards.

Minimum Requirements of the Position

• Minimum of an Associate degree or certification in related field.
• Nursing or clinical experience preferred.
• Proficient in the use of Microsoft Office Suite.
• Ability to build trust with business partners across organizational boundaries.
• Strong interpersonal skills—ability to effectively communicate with all levels and functional areas within the organization.
• Strong written and verbal communication skills.
• Ability to work independently.

Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).

The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.

This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more!

If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service.

Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.